Loading...
HomeMy WebLinkAbout413953 HUDSPETH & ASSOCIATES INC - INSURANCE CERTIFICATE (3)HUDS&AS-01 DDAVIS '41141 CERTIFICATE OF LIABILITY INSURANCE D1 2/1312012Y) 12113/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER CONTACT NAME: Diane Davis Forsberg Engerman Cc PHONE FAX _(A/c, No, Ext): (303) 762.1717 IAAC N.: (303) 762-1733 3575 S Sherman St Englewood, CO 80113 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC9 INSURER A: Chards Specialty Insurance CO 26883 INSURED INSURER B: EMC Insurance Companies 21415 INSURER c:Pinnacol Assurance 41190 Hudspeth & Associates Inc INSURER O: 4775 S Santa Fe Circle Englewood, CO 80110.6477 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR LI POCY EFF POLICY EXP LTR INSR MO POLICY NUMBER (MMIDO/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000, A X COMMERCIAL GENERAL LIABILITY X PROP3778989 12/1712012 111/2014 6AMA=FTO PREMISES _RENTED_Ed 3 300,000 CLAIMSWADE IX I OCCUR ME EXP (My one person) $ 25,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO POLICY X PRO- JECT_ LOC $ AUTOMOBILE LIABILITY CEOM�BINEEDmdent SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO 4E83222 1/112/11 1/112014 ALL OWNED HEDULEO AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON-0wNED AUTOS 15ROPERTVDAMA EE PER ACCIDENT X $ $ X UMBRELLA LIAO OCCUR EACH OCCURRENCE Is 9,0003000' AGGREGATE $ 9,000,000 A EXCESS LIAO CLAIMSWADE PROU9964023 12/1712012 11112014 DEO I X I RETENTION$ 10,000 Is WORKERS COMPENSATION WC STATU- OTH- X TORY LIMITS ER AND EMPLOYERS' LIABILITY Y/N E.LEACH ACCIDENT $ 1,000,000 C ANY PROPRIETORIPARTNER/EXECUTIVE 4064674 11112013 111/2014 OFFICER/MEMBER EXCLUDED? n NIA E.L. DISEASE-EAEMPLOYEE' $ 1,000.000 IMantlatory In Nll) If yes, tlescribe under FL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS hel. B Inland Marine 4C83222 1I7/2013 1/1/2014 Installation Floater 60,000 B Inland Marine 4C83222 1/1/2013 1/112014 Leased/Rented Equip 345,000� DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins is named as an additional insured with respect to general liability coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N Mason St 2nd Floor ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD